Mock Exam 1 Part 2
Mock Exam 1 Part 2
76. Mr. Tyler was admitted to the hospital and had a combined right and left heart
catheterization. The operative session included injection procedures for a left
ventriculography and aortography. Imaging supervision, interpretation, and generation of a
report were also performed. A single physician provided all of these services. How should
the physician’s professional services be reported?
a. 93460-26, 93567, 93563
b. 93453-26, 93567
c. 93451-26, 93542-26, 93567-51
d. 93453-26, 93567-51
77. Dr. May and Dr. Lynn teamed up to perform a real time image with 2 dimensional M-mode
recording for a transesophageal echocardiography study for Mr. Thompson, an 81 year-old
male with a history of coronary artery disease. Dr. May placed the transesophageal probe and
Dr. Lynn acquired the images and produced a written interpretation. How should these
physician services be reported?
Dr. Lynn Dr. May
a. 93312-26 Not separately reportable – his services are bundled
b. 93314-62 93313-62-
c. 93317-26 93316-
d. 93314-26 93313
78. Judy went to see her allergist for follow-up allergy testing. She was last seen by the same
physician one month ago. Because Judy had recently recovered from the flu, the allergist
took a brief interval history (five minutes) prior to administering the tests. She then
administered three intradermal tests with allergenic extracts (delayed type reaction) and
interpreted the test results. How should these services be reported?
a. 95028 x 3, 99211-25
b. 95024 x 3, 99211-25
c. 95028 x 3
d. 95028, 99211-25
79. A physical therapist placed a hot pack on Jane’s right shoulder and left the hot pack in place
for 15 minutes while he attended to other patients. When the therapist returned, he
provided 15 minutes of ultrasound treatment on Jane’s same shoulder. The therapist then
provided 15 minutes of therapeutic exercise to the same shoulder. How should the physical
therapist services be reported?
a. 97035-51, 97110
b. 97010, 97035, 97110
c. 97010, 97028, 97110
d. 97010, 97035-51, 97110-51
80. Mr. West is recovering at home from a post-operative wound infection. A home health
nurse administered IV Cephalosporin (an antibiotic supplied by the patient). This IV
administration and home health visit lasted four hours. How should these services be
reported?
Anesthesia – 10 Questions
a. 00836-AA-P1
b. 00834-AA-P1
c. 00834-AA-P1, 99100
d. 49495-47
82. A 76 year-old male with mild hypertension presents to the hospital for a scheduled surgical
bronchoscopy with bronchial alveolar lavage. Moderate sedation is administered by the
surgeon who completes the procedure. The procedure intra-service time is 30 minutes.
What code(s) should be used to report the anesthesia services?
a. 00520-AA-P2, 99100
b. 31624, 99100, 99152,99153
c. 31624-P2, 99152,99153
d. 31624 ,99152,99153
83. In a rural area, an otherwise healthy female patient presents to the local 25 bed hospital
with extreme upper abdominal pain. It is 2:30 in the morning and the surgeon on call decides
that she needs an emergency splenectomy. There is no anesthesiologist present. The
surgeon decides that there is no time to waste and he performs a total splenectomy using an
open technique. He personally administered general anesthesia. How should this encounter
be reported?
a. 00790-AA-P1, 99140
b. 38100-47, 99140
c. 38100-47
d. 38100-47, 00790-AA-P1, 99140
84. Ms. Jones, an otherwise healthy 29 year-old, arrives at the hospital in an ambulance because
she has unexpectedly gone into labor. The CRNA quickly administers an epidural under the
direction of an anesthesiologist. Although Ms. Jones had planned to deliver vaginally, after
several hours of continued labor and minor complications, it becomes apparent that vaginal
delivery was too risky. The obstetrician performs a cesarean delivery. The CRNA also provided
the anesthesia for the cesarean delivery. What code(s) should be used to report the CRNA’s
anesthesia services?
a. 01967-QX-P1, 01968-QX-P1
b. 01967-QX-P1
c. 01961-QX-P1
d. 01968-QX-P1
85. Dr. Roberts, a vascular surgeon, administers a digital block to anesthetize a healthy 41 year-
old patient’s finger prior to performing surgery to repair a damaged blood vessel in the
finger. What code should be used to report the anesthesia services?
a. 01850-AA-P1
b. 35207-23
c. 35207-47
d. None – The anesthesia services are not separately reported.
86. A surgeon administers general anesthesia on a 70 year old male prior to performing an emergency
partial hepatectomy to control hemorrhage. How should the surgeon’s services be reported?
a. 47120-47-AA
b. 47120-47
c. 47120, 00792-AA-P1, 99100, 99140
d. 47120, 99100, 99140
87. An anesthesiologist personally performs monitored anesthesia care for a 73 year old patient
with type II diabetes. The surgeon performs a complex craniectomy for evacuation of a deep
subdural hematoma. How should the anesthesiologist’s services be reported?
a. 00210-AA-P2
b. 00211-AA-QS-P2
c. 00210-AA-P2, 99100
d. 00211-AA-G8-P2, 99100
88. Mr. Bear is a 72 year-old champion golfer. Other than mild hypertension, which he has had
for years, he enjoys good health. However, his cardiologist recently determined that he had
some blockage in one of his coronary arteries. The blockage was successfully treated by an
interventional radiologist who performed percutaneous transluminal coronary balloon
angioplasty of the artery. Dr. Sue, an anesthesiologist, administered general anesthesia for
the procedure while medically directing 2 other procedures. How should Dr. Sue’s services be
reported?
a. 01925-AD-P2
b. 01925-AD
c. 01925-QK-P2, 99100
d. 01925-QK-P2, 99100-51
89. What is the appropriate code for a patient who had regional block anesthesia provided for
carpal tunnel surgery?
a. 20526 c. 01820
b. 00400 d. 01810
90. What is/are the appropriate anesthesia code(s) for an obstetric patient who had neuraxial labor
analgesia provided by the anesthesiologist? The delivery was expected to be a normal delivery;
however, the obstetrician performed a cesarean delivery when the fetal heart rate dropped. What CPT®
code(s) is/are reported for the anesthesia?
a. 62319 c. 01968
b. 01967 d. 01967, 01968
Digestive – 10 Questions
91. A physician performs a diagnostic colonoscopy through a stoma. During the colonoscopy the
physician removes a foreign body from the colon through the scope. How would these services be
reported?
a. 45379
b. 44390
c. 45378, 45378-51
d. 44388, 44390-51
92. Two surgeons working together perform a partial esophagectomy with cervical
esophagostomy, without reconstruction. How would these services be reported?
a. 43124, 43124-51
b. 43124
c. 43124-62 for one surgeon, 43124-62 for the second surgeon
d. 43122-62 for one surgeon, 43122-62 for the second surgeon
93. A surgeon biopsies four lesions during a flexible esophagoscopy. How would these
services be reported?
a. 43200, 43202-51
b. 43202 x 4
c. 43202
d. 43215
94. The physician removed a foreign body during a flexible esophagoscopy under fluoroscopic
guidance (the same physician provided both the surgical and radiological services). The
procedure was performed in a hospital. How would the physician report these services?
a. 43200, 76000-26
b. 43215, radiological guidance included
c. 43216
d. 43215, 76000-26
95. A physician performed an esophagoscopy. Later that same day, the same physician performed
a colonoscopy on the same patient. What modifier is used to report the second procedure?
a. -51
b. -57
c. -58
d. -59
96. How would a partial colectomy performed in conjunction with a “take-down” of the
splenic flexure be reported?
a. 44140
b. 44139
c. 44140, 44139-51
d. 44140, 44139
97. A morbidly obese patient presents to the surgeon for laparoscopic insertion of gastric
neurostimulator electrodes into the lesser curvature of the stomach. How would the
surgeon report for his services?
a. 43881
b. 43647
c. 43659
d. 43647, 43659
98. When an appendectomy is performed for an indicated purpose at the time of another
major surgery, what additional code is reported for the appendectomy?
a. 44950
b. This procedure is bundled within the primary procedure.
c. 44955
d. 44950-52
99. A physician performs a flexible sigmoidoscopy with a biopsy of a lesion. During the same
sigmoidoscopy session, the physician removes the same lesion by bipolar cautery. How
would these services be reported?
a. 45330, 45333-51
b. 45331, 45333-51
c. 45331
d. 45333
100. A general surgeon performs an initial femoral hernia repair on a 37 year-old patient,
followed by implantation of mesh. The hernia was incarcerated. How would these services be
reported?
a. 49550
b. 49553, 49568-51
c. 49553, 49568
d. 49553
101. A patient presents with a renal abscess. The surgeon performs a percutaneous renal
abscess drainage with imaging guidance. How should these services be reported?
a. 50020
b. 49405
c. 49406
d. 10060
a. 75984
b. 50398, 75984
c. 50435
d. 50435, 75984-26
104. A physician performs an aspiration of a patient’s bladder. How should the physician’s
services be reported?
a. 51100
b. 51101
c. 51102
d. More information is needed
105. A patient presents with an abdominal mass and is diagnosed with a bladder tumor.
The surgeon performs a cystourethroscopy with fulguration and resects an 8 cm tumor.
During this surgical session, the physician also performs a cystourethroscopy with the
insertion of an indwelling urethral stent. How should these services be reported?
a. 52240, the secondary procedure is bundled
b. 52235, 52282-51
c. 52240, 52283-51
d. 52240, 52282-51
107. A patient requires a vasovasostomy. The surgeon operates on the patient while
utilizing an operating microscope. How should these services be reported?
a. 55300, 69990-51
b. 55400,
c. 55400, 69990-51
d. 55400, 69990
108. History: A 68 year old male with a PSA of 6.8 recently underwent transrectal ultrasound
and biopsy of his prostate. The biopsy was positive for adenocarcinoma of his prostate. After
discussion of various treatment modalities available; the patient has opted for intensity
modulated radiation therapy. The patient is being seen today for placement of fiducial markers
for radiation therapy guidance. Procedure: The patient is brought into the treatment room and
positioned on his left side. A digital rectal exam is performed and the anus is dilated. A
transrectal ultrasound probe is inserted into the rectum and the prostate is visualized in the
transverse and sagittal planes. Local anesthetic injection is performed at the base and at the
apex of the prostate gland for adequate peripheral nerve block, and at the perineum to allow a
cutaneous block for needle introduction. Utilizing ultrasonic needle guidance, four preloaded
gold fiducial markers are introduced and implanted bilaterally at the base and apex of the
prostate. The positions of the seeds are confirmed; the transrectal probe is removed and
transrectal pressure is applied to achieve hemostasis. The patient is discharged from the
procedure room in good condition. Report for the physician’s professional services regarding
procedure and imaging services performed. Do not report for the supply item of the fiducial
markers.
a. 55875, 76965-26
b. 55876, 77002-26
c. 55876, 76942-26
d. 77418-26, 76942-26
111. Rita, a patient of Dr. Smith, is pregnant for the second time. Rita delivered her first
baby via cesearean. Dr. Smith informed her that there was a very good chance for a
successful vaginal delivery this time. However, the patient elected to deliver her second
baby via cesarean. Dr. Smith provided all normal antepartum and postpartum care. How
should these services be reported?
a. 59510
b. 59514
c. 59899
d. 59620
112. A patient presents with a large mass on the left side of the neck. The patient is
diagnosed with a thyroid goiter. The surgeon performs a left total thyroid lobectomy. How
should the surgeon’s professional services be reported?
a. 60240-LT
b. 60220-LT
c. 60220
d. 60240
113. Using an intradural approach, a physician excised an intradural lesion at the base of
the anterior cranial fossa. How should the physician’s services be reported?
a. 61583, 61601
b. 61583, 61601-51
c. 61581, 61608-51
d. 61583, 61601-59
115. A patient who suffers from osteoarthritis of L3-4 and L4-5 is scheduled for
paravertebral facet joint injections of Solu-Cortef and Marcaine 2%. A facet joint is injected at
L3-L4 and another injection is performed at L4-L5. The physician utilizes fluoroscopic guidance
for accurate needle placement. The services were performed in the hospital outpatient
department. How would you report for the physician’s professional service?
a. 64483 and 64484
b. 64493, 64494
c. 64493, 64494, 77003-26
d. 64490, 64491
116. A physician performs an enucleation of Mrs. Millers’ right eye with placement of an
implant. The muscles were attached to the implant during the same operative session. Also
during the same operative session, the physician performed a surgical repair of the conjunctiva
with conjunctival graft. How should the physician’s services be reported?
a. 65103-RT, 68320-51-RT
b. 65105-RT
c. 65105-RT, 68320-51-RT
d. 68320-RT
117. Mr. Roberts was hit in the eye by a staple from an electric staple gun. A piece of the
staple lodged in the posterior segment of the eye. The piece of the staple was removed with a
magnet via an anterior route. How should the physician’s services be reported?
a. 65265-RT
b. 65920
c. 65260
d. 67120-RT
118. A physician performed a mechanical vitrectomy using a pars plana approach with
removal of preretinal cellular membrane via ophthalmic endoscope. During the same
operative session, the physician removed a splinter from the posterior segment using
nonmagnetic extraction. How should the physician’s services be reported?
a. 67041, 66990-51, 65265-51
b. 67036, 67041-51, 65260-51
c. 67041, 65265-51
d. 67041, 66990, 65265-51
120. A physician corrected a problem with misalignment of the eye by performing strabismus
surgery on a patient’s lateral rectus, medial rectus and superior oblique eye muscles. Both
horizontal muscles were transposed during the procedure. How should the physician’s services
be reported?
a. 67312, 67314-51, 67320
b. 67312, 67318-51, 67320
c. 67312, 67314-51
d. 67312, 67318-51
a. 69641, 69667-51
b. 69636, 69666-59
c. 69646, 69666-51
d. 69633, 69667-59
Radiology – 9 Questions
122. A physician interpreted a CT study of cervical spine (C2-C4 area) with IV contrast. How
should the physician’s professional services be reported?
a. 70491-26
b. 70492-26
c. 72126-26
d. 72126-26, 62284
123. A physician interpreted a CT of the abdomen and pelvis with contrast. The films were
taken by the physician’s staff in his office using x-ray equipment owned by the practice. How
should these radiology services be reported?
a. 74177-26
b. 74160, 72193, 74177
c. 74177 x 2
d. 74177
124. A 27 year-old female was seen by her OB-GYN for an annual checkup. Although the
patient had never experienced any problems with her breasts, as a part of the checkup, her OB-
GYN referred her to a local freestanding (i.e., not hospital affiliated) women’s imaging center for
her bi-annual mammogram. Two views were taken of each breast. After the patient left, the
radiologist on duty at the imaging center interpreted the films. The images were then digitized
and analyzed by computer. The physician then interpreted the digitized images and
computerized analysis. The radiologist found a small mass in the left breast and reported her
findings back to the OB-GYN the next day. The imaging center bills globally. How should the
services provided by the imaging center be reported?
a. 77067
b. 77067-26
c. 77065, 77062
d. 77065-26, 77067-26
127. How would a radiation oncologist report the professional services required to develop
a clinical treatment plan involving three converging ports, two treatment areas and multiple
blocks?
a. 77285
b. 77407
c. 77262
d. 77263
128. A hospital inpatient underwent five different radiation therapy sessions. Each session
involved a single treatment area and parallel opposed ports. A total of 5 MeV of energy was
delivered during each of the treatment sessions. How should the hospital report the delivery of
this radiation treatment?
a. 77402 x 5
b. 77427
c. 77407
d. 77406
129. A patient underwent a complete course of radiation therapy involving a total of seven
fractions (i.e., treatment sessions) over a two-week period. Each fraction involved multiple
treatment areas. A total of 10 MeV of energy was delivered during each of the treatment
sessions. How should the radiation oncologist report the radiation treatment management
services he provided in connection with this course of therapy?
a. 77427 x 7
b. 77427
c. 77427, 77431
d. 77413 x 7
130. Mr. Mays was treated for prostate cancer five years ago. Mr. Mays is now presenting to
the hospital for a PET (positron emission tomography) scan for tumor imaging of his head for
detection of brain metastases. The physician concurrently performs a CT of the head without
contrast to localize the anatomic location to be studied. During the same encounter, the same
physician also performs a CT of the chest without contrast to determine the cause of Mr. Mays
severe chest pain he has been experiencing over the past few months. How should the
physician’s professional services be reported?
a. 78814-26, 70450-26-59, 71250-26-59
b. 78815-26
c. 78814-26, 71250-26-59
d. 78814, 71250-59
131.A physician ordered an “electrolyte panel” from a local laboratory company. The order form
supplied by this company indicates the following tests are always included whenever an
electrolyte panel is ordered: carbon dioxide, chloride, glucose, potassium and sodium. The lab
company performed all of these tests. How should the lab company report these services?
a. 82374, 82435, 84132, 84295, 82947
b. 80051, 82374, 82435, 84132, 84295, 82947
c. 80051
d. 80051, 82947
132.When a specimen is sent for outside lab testing, which modifier is appended?
a.91
b.26
c.32
d.90
133.A lab performed a calcitonin stimulation panel consisting of three separate calcitonin tests. How
should these lab services be reported?
a.80410, 82308 x 3
b.82308 x 3
c.80410
d.82308, 82308-91 x 3
134.A pathologist was asked to consult on the results of a quantitative urine alkaloid test taken in a
primary care physician’s office. The pathologist reviewed the test results but did not review the
patient’s records or personally examine the patient. A written report was produced by the
pathologist rendering his opinion and sent back to the primary care physician’s office. How should
the pathologist’s services be reported?
a.The pathologist’s professional services should not be separately reported – they are a part
of the lab’s overhead.
b.80500
c.81005, 80500
d.81005
135. A six-year old child was taken to the hospital emergency department after swallowing a
lead toy soldier. A lead toxicity test was performed immediately and the patient was started on
IV infusion of a detoxification agent. Three hours later, a lead test was run again to determine
whether the IV infusion was reducing the level of lead in the patient’s blood. How should these
lab services performed in connection with this encounter be reported?
a. 83655
b. 83655 x 2
c. 83655-91
d. 83655, 83655-91
136. A physician aspirated a sample of bone marrow and then interpreted a smear from
the sample. How should the physician’s professional services be reported?
a. 38220, 85097
b. 38220, 88305-26
c. 38221, 85097
d. 85097
137. A quantitative colony count bacterial culture of the urine was performed with
isolation and presumptive identification of isolates. How should these lab services be
reported?
a. 87040
b. 87070
c. 87075
d. 87088
138. Cytopathology slides prepared from a vaginal specimen were manually screened with
computer-assisted rescreening using cell selection with the Bethesda system of reporting. This
service was performed by lab personnel under physician supervision. The initial results were
positive. The pathologist then reviewed the initial test results and rendered an interpretation.
How should these lab services (including the physician interpretation) be reported?
a. 88164
b. 88167, 88141
c. 88164, 88141
d. 88142, 88141
139. A patient who had developed a tumor on his tonsils underwent surgery for resection of
the tonsils. After the tonsils had been removed and the patient was sent to the recovery room,
the tonsils were sent (as a single specimen) to the pathologist for gross and microscopic
evaluation. How should the pathologist’s services be reported?
a. 88305-26
b. 88304-26
c. 88309-26
d. 88399-26
140. A patient presented for a colonoscopy. The gastroenterologist biopsied three polyps from
the colon and sent each polyp as a separately identified specimen to pathology requesting a
pathology consult while the patient was still on the table. Tissue blocks and frozen sections were
then prepared and examined as follows:
Specimen 1: First Tissue Block – Three Frozen Sections
Second Tissue Block – One Frozen Section
a. 88331-26, 88332-26 x 5
b. 88331-26 x 3, 88332-26 x 10
c. 88331-26 x 8, 88332-26 x 5
d. 88331-26 x 3, 88332-26 x 2
141. What HCPCS Level II supply code would be reported for a 2 mg oral administration of Tacrolimus?
a. J7525
b. J7507 x 2
c. J7599
d. J7507
142. Jennifer is diabetic and must check her blood sugar regularly. Her primary care physician supplied
two boxes of Lancets to her for use in checking her blood sugar. Each box contained 100 Lancets.
What HCPCS Level II code would be reported for the supply of these Lancets?
a. A4259
b. A4258
c. A4259 x 2
d. A4258 x 2
143. Mr. Thomas, a 72 year- old, goes to his primary care physician for a yearly physical. While there it is
determined that Mr. Thomas should undergo a screening flexible sigmoidoscopy for colorectal
cancer. What HCPCS Level II code would be used to report this encounter?
a. G0105
b. G0104
c. G0106
d. G0121
144. A physician administers 12 cc of IM gamma globulin immunization in his office. What HCPCS Level
II supply code(s) would be used in reporting this drug?
a. J1550, J1470
b. J1460 x 12
c. J1560
d. J1510 x 2
145. Mr. Stewart was in a car accident and had to have both legs amputated. The local DME company
supplied him an amputee wheelchair with fixed full-length arms and swing-away, detachable
footrests. What HCPCS Level II code would be reported for supplying this wheelchair?
a. E1180
b. E1130
c. E1200
d. E1140
Compliance 5 question
146.What does the acronym CPT stand for?
147.What does it mean when a procedure is assigned a Category I code from the CPT manual?
a. Centers for Disease Control (CDC) oversee the code assignment and identifies which
procedures will receive a CPT code. The CDC then relays this information to the CPT Editorial
Panel of the AMA.
b. American Medical Association
c. American Medical Association (AMA) and Center for Medicare and Medicaid Services (CMS)
together develop and update CPT codes
d. Medical Specialty Societies identify what procedures need codes and American Medical
Association (AMA) assigns the codes based on the medical society’s decision.
150. Who can use the CPT codes to report their services?
a. Physicians only
b. Physicians and their office staff
c. Physicians and outpatient facilities
d. Physicians, other qualified healthcare professionals and outpatient facilities